Park West Social & Psychotherapy Services,Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PARK WEST SOCIAL & PSYCHOTHERAPY SERVICES,INC

Practice address

3353 N Martin Luther King Dr
Milwaukee, WI 53212-1455

Phone

(414) 771-0227

Fax

(414) 771-0227

NPI assigned

Mar 11, 2009

Last updated

Mar 11, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clorine Henderson-Harris, MSW, LCSW

Title

Director/Psychotherapist

Phone

(414) 771-0227

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1700027349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 N MARTIN LUTHER KING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121455",
            "telephone_number": "414-771-0227",
            "fax_number": "414-771-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 N MARTIN LUTHER KING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121455",
            "telephone_number": "414-771-0227",
            "fax_number": "414-771-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK WEST SOCIAL & PSYCHOTHERAPY SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "HENDERSON-HARRIS",
        "authorized_official_first_name": "CLORINE",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-771-0227",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Kristen Parise, RN
• Jaclyn Parish, OT
• Latasha Kiana Parish, APNP
• Matthew Joseph Parisi, PA
• Michelle Gloria Parisot, M.A.
• Aaron Park
• Abigail Lee Park, DPT
• Amanda Lee Park, MS, RD
• Edward Kioh Park
• John Park, PHARMD

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.